CRANIOMANDIBULAR DISORDERS--LONG TERM OUTCOME STUDY

颅颌关节紊乱病的治疗方法不同于保守治疗和 外科手术干预。纵向研究显示了积极的一面 任何一种干预的结果。然而，由于缺乏 现场控制流行病学研究，相对长期 不同治疗方法的疗效尚未完全确定。 此外，先前的研究，特别是关于保守干预的研究 由不同的诊断组组成，所以关于 特定的诊断小组是不可能的。这项研究的目的是 完成一项为期3年的纵向结果研究，共150项 女性患者1)确定TMJ ID的进展是否没有 可以通过标准化的保守措施停止或逆转减产 治疗与手术治疗，2)确定什么人口统计学， 咬合、行为或心理社会因素影响预后 不同的治疗方法。 要收集的前处理数据包括计算 颅颌指数(CMI)、症状严重程度指数(SSI)、Helkimo‘s 临床功能障碍(Di)和记忆指数(Ai) 测量疼痛和功能障碍的客观和主观严重程度。 此外，口腔习惯指数(OHI)，咬合不和谐指数(ODI)， 疾病影响指数(III)与西黑文-耶鲁大学多维 将使用疼痛问卷(MPI)来评估客观和 副功能习惯的主观指标，咬合稳定性和 这种疾病对患者生活的影响。此外, 受试者将有特定的TM关节诊断通过MRI和 体层摄影术。主题选择是标准化的，具体包括 标准。蓝十字蓝盾和其他第三方运营商 同意承保在以下方面使用的成像和干预的成本 这项研究。 TMJ ID的症状和体征的进展或消退 减少将由CMI、Di、Ai和SSI的变化决定。 治疗后放射状态将由以下方面的变化决定 核磁共振和断层扫描。口腔功能不全的关系 习惯、咬合不协调、疾病影响和心理社会因素或 这些因素的组合导致了这种进步或倒退 将会被确定。结果将被用来帮助预测 非手术治疗与手术治疗的后果 确定哪些因素会影响这一过程。

Treatment for craniomandibular disorders varies between conservative and surgical interventions. Longitudinal studies have shown positive outcomes with either intervention. However, due to the lack of controlled epidemiological research in the field, the relative long-term efficacy of the different treatments has not been fully established. Also, prior studies especially with conservative intervention have been composed of heterogenous diagnostic groups, so conclusions about specific diagnostic groups is not possible. The aims of this study are to complete a 3-year longitudinal outcome study of 150 consecutive female patients to 1) determine if the progression of TMJ ID without reduction can be halted or reversed wiith standardized conservative treatment versus surgical treatment, 2) deterinine what demographic, occlusal, behavioral or psychosocial factors affect outcome with different treatments. Pre-treatment data to be collected includes data to calculate the Cranio-mandibular Index (CMI), Symptom Severity Index (SSI), Helkimo's Clinical Dysfunction (Di) and Anamnestic Indices (Ai) indices that measure the objective and subjective severity of pain and dysfunction. Also, the Oral Habit Index (OHI), the Occlusal Dysharmony Index (ODI), the Illness Impact Index (III) and the West Haven-Yale Multidimensional Pain Inventory (MPI) will be utilized to assess the objective and subjective indicators of parafunctional habits, occlusal stability and the impact the disorder has on the patients' life. In addition, subjects will have specific TM joint diagnosis by using MRI and tomography. Subject selection is standardized with specific inclusion criteria. Blue Cross Blue Shield and other third part carriers have agreed to underwrite the cost of the imaging and interventions used in this study. The progression or regression of signs and symptoms of TMJ ID without reduction will be determined by the change in CMI, Di, Ai and SSI. Post-treatment radiographic status will be detemined by the change in the MRIs and tomograms. The relationship that oral parafunctional habits, occlusal disharmony, illness impact and psychosocial factors or a combination of these factors have wlth this progression or regression will be determined. The results will be used to help predict the consequences of nonsurgical treatment versus surgical treatment and determining what factors influence this process.